If the physician indicates a shoulder dystocia during the delivery of a macrosomic fetus, the nurse would assist by:
1. Calling a second physician to assist.
2. Preparing for an immediate cesarean delivery.
3. Assisting the woman into McRoberts maneuver.
4. Utilizing fundal pressure to push the fetus out.
3
Rationale 1: The vaginal delivery of a macrosomic fetus does not require a second physician.
Rationale 2: Although a cesarean might be necessary, it would not be an immediate need.
Rationale 3: The sharp flexion of the thighs toward the hips and abdomen during McRoberts maneuver changes the angle available for the fetus to come under the pubic arch and be delivered.
Rationale 4: Fundal pressure is never utilized, because it only pushes the fetus against whatever it is stuck on and does nothing to assist the delivery.
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